Equity in Interventions with Migrants & Refugees
Funding
Co-researchers
Mónica Ruiz-Casares (Co-PI), Naïma Bentayeb, (Co-PI), Christine Gervais (Co-PI), Geneviève Morin, Annie Pontbriand, Mandy Wu, Laila Mahmoudi, Bouchera Belhadj, Rita Nanor Hamamdjian
Summary
The cultural adaptation of the STEP program is a sub-study within the larger project titled STEP-3: Soutenir la Transition et l'Engagement dans la Parentalité (Supporting Transition and Engagement in Parenting). This sub-study focuses on tailoring the STEP program to address the unique needs of women from diverse ethnic backgrounds who have experienced migration. This study consists of two phases.
Phase I follows a participatory approach. It begins with a systematic literature review to explore the perinatal needs and experiences of women from immigrant or culturally diverse backgrounds who have experienced trauma. Building on this, consultative workshops are organized with women from ethnocultural minority groups to deepen understanding of their needs and challenges. The findings from the literature review guide the development of the workshop topics and discussions.
Phase 2, as well, begins with a scoping review that examines perinatal interventions developed or culturally adapted for women from ethnocultural backgrounds. Insights from this review, along with findings from the consultative workshops in Phase 1, inform the next step: a Delphi consultation process. This process engages academic and community experts working in multicultural settings to identify and achieve consensus on the key components of an intervention designed for pregnant women from migrant and culturally diverse populations with the lived experience of trauma.
The insights gathered from these activities inform the development of the initial draft of the culturally adapted STEP program. This draft is presented in two workshops: one with service providers and researchers working with families in multi-ethnic contexts, and the other with service users with a migratory background who have experienced at least one pregnancy. These workshops provide an opportunity to gather feedback and refine the program. The final version of the cultural adaptation is then documented in a formal manual.
Funding
Canadian Institutes of Health Research (CIHR) (2022-2026)
Co-researchers
Naima Bentayeb (PI, Sherpa University Institute/Ecole Nationale d’Administration Publique (ENAP)/McGill University), Cécile Rousseau (Co-PI, McGill University), Ahmed Hamila (Université de Montréal), Alicia Botswain-Kyte (McGill University), Annie Jaimes (Université du Québec à Montréal), Anta Niang (CIUSSSE-CHUS/Université de Sherbrooke), Eduardo González Castillo (Université d’Ottawa), Emmanuelle Khoury (Université de Montréal), François Lauzier-Jobin, PhD (Université de Sherbrooke), Gina Lafortune (Université du Québec à Montréal), Janique Johnson-Lafleur, (IU SHERPA/McGill University), Jessica Spagnolo (Université de Sherbrooke), Jude Mary Cénat (Université d’Ottawa), Lara Gautier (Université de Montréal), Lourdes Rodriguez del Barrio (Université de Montréal), Lucie Nadeau (McGill University), Mónica Ruiz-Casares, Nassera Touati (École nationale d’administration publique), Rosita Vargas Diaz (Université Laval), Srividya Narayanan Iyer (McGill University), Tatiana Garakani (École nationale d’administration publique).
Summary
Aire Ouverte (AO) has been serving the health and psychosocial needs of Quebec’s youth from various ethno-cultural backgrounds since 2018 as an Integrated Youth Service (IYS). This four-year project aims to co-create Aire Ouverte’s Cultural Adaptation (AOCA) and conduct a participatory-realist evaluation of this process. Cultural adaptation is essential to address the barriers that prevent youth aged 12 to 25 years who are racialized, immigrants, refugees, or from diverse ethnocultural backgrounds from accessing and utilizing AO services effectively.
AOCA will involve youth from diverse ethnocultural backgrounds, their caregivers, and multi-sector stakeholders (including clinicians and managers). The project will be conducted in two phases: 1) co-creating the AOCA with the community, including youth, caregivers, schools, and community leaders and organizations; and 2) evaluating the implementation processes from the perspectives of AO participants. Knowledge mobilization activities are integrated throughout the project.
For more information on this project, visit the AOCA (external link) website.